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Exam 2
Respiratory Cardio Pulmonary A&P
Question | Answer |
---|---|
What is the formula for alveolar air equation? | PAo2=(Pb-H20)FiO2-(PACo2 x 1.25) |
What is the significance of alveolar air equation in respiratory therapy? | It calculates the pressure of oxygen (PO2) in the alveoli. |
Calculate the Normal for alveolar air equation? Pb=760,H20=47, Fio2 21%, PCo2 40mmhg. | PAo2=(760-47).21-(40 x 1.25) 713 x .21 - 50 149.73-50 PAo2= 99.73 mmHg or 100 mmhg |
What is the normal range for alveolar air equation, when Pb,Fio2,H20, Pco2 is in normal range | 99.73 or 100 mmHg |
What is the formula for A-a gradient? | P(A-a)O2= PAo2-Pao2 |
PAo2 is calculated ____ | Pressure of Oxygen in the alveoli |
PaOs is a calculated_____ | Pressure of oxygen in the arterial Blood |
What is the pupose of the A-a gradient? | to measure the difference between Alveolar and arterial PO2. The A-a gradient is use to measure if the therapy is improving the patient distribution. The portion of oxygen getting from the alveoli into the blood. |
What normal ranges should the A-a gradient be on room air? | The normal range for A-a gradient should be 5-10 mmHg on room air |
If the patient is on 100% O2 what is the acceptable range for the A-a gradient? | On 100% Oxygen the patient should have a difference no more than 65 mmHg |
The A-a gradient on 100% O2 should be between what range? | A-a gradient on 100% Oxygen should be between 25-65 mmHg on 100% Oxygen. |
If the A-a gradient is between the ranges of 66-300 mmHg on 100 % O2 this reveal a problem of | Ventillation and Perfusion Mismatch |
If the A-a gradient is 300 mm Hg or greater on a 100% O2 this reveals a problem of ___ | Shunting |
CaO2 is also known as | Arterial oxygen Content |
CaO2 is used to determined | The total oxygen content "delivered" to tissues or the best index oxygen transport. It measures the amount of oxygen bound to hemoglobin and the oxygen dissolved to plasma. |
What is the formula for total arterial oxygen content aka Cao2 | CaO2= (Hb x 1.34 x SaO2) + (PaO2 x 0.003) |
What is the normal value for CaO2? | The normal Value for CaO2 is 17-20 vol % or ml/dl. |
Other than CaO2 you can also substitute what type fo venous blood to calculate the oxygen content | Mixed Venous blood. CvO2= (Hb x 1.34 x SvO2) + (PvO2 x 0.003) |
The normal range for Venous Oxygen content is ? | 12-16 vol % or ml/dl. |
When CvO2 decrease what other factors decrease | Cardiac output |
C(a-v) O2 is a formula to obtain ? | Arterial venous oxygen content |
What is the significance of C(a-v) o2 | C(a-v)O2 is used to measure the oxygen "consumped" by the tissues. |
What is the normal Value for C(a-v) O2 | 4-5 vol % or ml/dl. |
what equation is used to calculate the cardiac output or oxygen consumption? | Fick equation |
What is the formula for Fick equation to determine the cardiac output? | Qt= VO2 / C(a-v) O2 x 10 |
What is the fick equation to determine the oxygen consumption or VO2? | VO2= Qt x C(a-v) O2 x 10 |
What is the normal values for Qt or cardiac output? | 4-8 ml/min |
What is the normal oxygen Consumption or VO2 | 250 ml/min |
WHat is the normal value of shunt equation ? | 3-5% shunt |
What is the normal range for a/A ratio? | 90% or 0.9 ratio |
If PaO2 is known how do you find out the estimated SaO2 | by adding 30 to Pao2 |
Why are blood gases obtained? | ABG's are obtained to evaluate the acid/base status of the patient, their oxygenation status, and to assess the type of therapy. |
Any chemical substance that is capable of releasing H+ solution. | Acid |
Any chemical substance that is capable of combining with an H+ solution | Alkalosis |
What type of equation is used to obtain a pH | Henderson hessel bach |
What side effects to the CNS is significant when pH is decreased or increased. | Decrease pH =Central Nervous System will be Depressed- cause patient to be lethargic and coma. Increased pH= CNS will be over excited. ex, muscle spasm or respiratory failure. |
What are the normal ranges for pH, PCO2, PaO2, HCO3. | ph=7.35-7.45, PCO2=35-45, PaO2 80-10, HCO3 22-26 |
PaO2 varies with: | Age, positioning, barometric pressure, and FiO2. |
PaO2 is below predicted range for a patient breathing RA, regardless of FIO2 | Hypoxemia |
Indicates a condition in which tissue oxygenation is inadequate | Hypoxia |
Level of PaO2 is greater than 100 mmHg | hyperoxia |
What type of hypoxemia is present in the following ranges of PaO2 | (blank) |